Executive Director of Outpatient Surgery

About the role

The Director of Outpatient Surgery presents an exciting opportunity to play a key role in opening the new HUB Surgery Center as part of the Snoqualmie HUB project. This role will actively contribute to designing and implementing workflows, policies, and procedures to ensure safe, efficient, and high-quality operations from day one.

Responsibilities

• Provide day-to-day leadership for outpatient surgical services, including staffing, scheduling, patient flow, and case coordination
• Maintain an active presence in clinical operations, providing support and coverage as needed
• Develop, implement, and maintain policies and procedures appropriate for a CAH setting
• Ensure compliance with CMS Conditions of Participation, CAH regulations, state licensing, and accreditation standards
• Lead quality improvement, patient safety, and infection prevention efforts within outpatient surgery
• Monitor clinical outcomes, patient experience, and performance metrics
• Investigate incidents, near misses, and patient concerns and implement corrective actions
• Build and maintain strong working relationships with surgeons, anesthesia providers, and procedural staff
• Support block scheduling, case prioritization, and flexible scheduling models typical of CAH environments
• Serve as a liaison between medical staff and hospital leadership for outpatient surgical services
• Recruit, train, schedule, and supervise outpatient surgery staff, often across multiple roles
• Promote cross-training and competency to support staffing flexibility and coverage
• Conduct performance evaluations, coaching, and corrective action as needed
• Foster a culture of teamwork, accountability, and engagement
• Manage departmental budgets with a focus on cost control, productivity, and sustainability
• Oversee supply utilization, inventory management, and vendor relationships
• Support capital planning for equipment replacement and limited expansions
• Collaborate with Materials Management and Finance to ensure fiscal responsibility
• Evaluate service mix and case volume to support financial and clinical viability
• Identify opportunities to expand or retain services locally to reduce patient outmigration
• Participate in planning for facility upgrades, equipment needs, or limited expansions
• Collaborate with Nursing, Sterile Processing, Materials Management, Quality, Infection Prevention, Clinics, and Facilities
• Participate in hospital committees, performance improvement initiatives, and leadership meetings
• Serve as a visible, approachable leader within a small, team-oriented organization

Requirements

• Bachelor's degree in nursing or related healthcare field (required)
• Master's degree in nursing, Healthcare Administration, or related field (preferred)
• Current RN license in Washington (required)
• CNOR or other perioperative certification (preferred)
• Minimum of 3–5 years of leadership experience in perioperative or surgical services
• Experience running Multispecialty 3-4 room Ambulatory Surgery Center (ASC)
• Experience in Critical Access Hospital or rural healthcare setting preferred

Qualifications

• Demonstrated experience with CMS compliance, staffing flexibility, and resource-limited operations
• Hands-on, adaptable leadership style suited to a small hospital environment
• Strong clinical judgment and operational problem-solving skills
• Excellent communication and relationship-building skills

Skills & Abilities

• Hands-on, adaptable leadership style suited to a small hospital environment
• Strong clinical judgment and operational problem-solving skills
• Excellent communication and relationship-building skills

Benefits

We believe in taking care of those who take care of our community. We're proud to offer a comprehensive benefits package that puts your health and well-being first. With our flexible medical plan, you'll have access to multiple in-network tiers, including top-quality care from Snoqualmie Valley Health, Eastside Health, and First Choice/First Health providers. The best part? Anyone covered under our plan can receive care at SVH at no cost!